Provider Demographics
NPI:1336710342
Name:RHODES, KATHRYN L (PTA)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:L
Last Name:RHODES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MRS
Other - First Name:KATHRYN
Other - Middle Name:L
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:9 HIGHWOODS DR
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-6605
Mailing Address - Country:US
Mailing Address - Phone:828-280-3442
Mailing Address - Fax:828-683-3468
Practice Address - Street 1:103 APPALACHIAN BLVD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7715
Practice Address - Country:US
Practice Address - Phone:828-687-7321
Practice Address - Fax:847-730-2458
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0162225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant